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Not yet recruiting NCT06187116

Physiotherapist Led Triage in Primary Care for Patients With Hip or Knee OA

No phase Interventional Osteoarthritis, Knee Osteoarthritis, Hip

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Physiotherapist consultation, Orthopaedic surgeon consultation.
Who it may be relevant to
Registry conditions: Osteoarthritis, Knee, Osteoarthritis, Hip. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Physiotherapist Led Triage in Primary Care for Patients With Hip or Knee Osteoarthritis

Overview

The overall aim with the study is to evaluate physiotherapist led triage in primary care compared to usual care (assessment by an orthopaedic surgeon in an orthopaedic department) for patients with hip or knee osteoarthritis referred for orthopaedic consultation.

Detailed description

The primary aim of the study is to evaluate if there is any difference in perceived quality of care using the item "I received the best possible examination and treatment (as far as I can tell)" between physiotherapist led (PT led) triage in primary care compared to usual care (assessment by an orthopaedic surgeon (OS) in an orthopaedic department) for patients with hip or knee osteoarthritis (OA) referred for orthopaedic consultation. Furthermore, to evaluate whether there is any difference in 2) perceived quality of care as a whole, 3) management outcome and hip/knee replacement surgery conversion rate, 4) patient reported outcome measures such as health related quality, pain and function in short and long term and 5) costs between the two care models.

Interventions

  • Other Physiotherapist consultation
    The consultation with the PT is 40-45 minutes long according to usual care and includes patient history, assessment and management according to an assessment template. If the patient is found not to be appropriate for surgery they can receive the following; 1) self-care without follow up appointment, 2) referral to PT in primary care for rehabilitation, 3) referral back to general practitioner (GP) for new tests/assessments/medication. If the patient is found to be appropriate for surgery, and w
  • Other Orthopaedic surgeon consultation
    The consultation with the OS is 20-30 minutes long and includes medical history, assessment and management plan, all according to usual care. It the patient is found not to be appropriate for surgery they can receive the following; 1) self-care without follow up appointment, 2) referral to PT in primary care for rehabilitation, 3) referral back to GP for new tests/assessments/medication. If the patient is found appropriate for surgery, and wishes to undergo surgery, the patient is 4) scheduled f

Primary outcome measures

  • "I received the best possible examination and treatment (as far as I can tell)" [Time frame: Within a week after assessment]
Secondary outcome measures (12)
  • Quality from the Patients Perspective (QPP) [Time frame: Within a week after assessment]
  • Waiting times [Time frame: 12 months after the assessment]
  • Management outcome incl Surgery Conversion Rate (SCR) [Time frame: 12 months after the assessment]
  • EuroQol 5 D (EQ-5D-5L) [Time frame: Baseline]
  • EuroQol 5 D (EQ-5D-5L) [Time frame: Change from baseline to three months after assessment]
  • EuroQol 5 D (EQ-5D-5L) [Time frame: Change from baseline to 12 months after assessment]
  • Forgotten Joint Score (FJS) [Time frame: Baseline]
  • Forgotten Joint Score (FJS) [Time frame: Change from baseline to three months after assessment]
  • Forgotten Joint Score (FJS) [Time frame: Change from baseline to 12 months after assessment]
  • Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12) [Time frame: Baseline]
  • Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12) [Time frame: Change from baseline to three months after assessment]
  • Hip / Knee injury and Osteoarthritis Outcome Score (HOOS-12/KOOS-12) [Time frame: Change from baseline to 12 months after assessment]

Eligibility criteria

Patients with hip or knee OA assessed by a GP at any of the included health care centers in the study, and referred on for orthopaedic consultation to any of the included hospitals in the Västra Götaland.

Inclusion criteria

  • primary OA in hip or knee
  • understands and speak Swedish

Exclusion Criteria (if stated in the referral)

  • Previously been assessed for the same condition by an orthopaedic surgeon
  • Referred by an orthopaedic surgeon
  • Secondary OA due to fractures or osteonecrosis of the femoral head
  • Referral to a specific orthopaedic surgeon

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Double blind
Primary purpose
Diagnostic

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT06187116 · PT-triage primary care OA

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗